Provider Demographics
NPI:1518282490
Name:OAKRHEEM
Entity Type:Organization
Organization Name:OAKRHEEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-449-3400
Mailing Address - Street 1:1832 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-3140
Mailing Address - Country:US
Mailing Address - Phone:510-538-3866
Mailing Address - Fax:707-450-0954
Practice Address - Street 1:1832 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3140
Practice Address - Country:US
Practice Address - Phone:510-733-3353
Practice Address - Fax:707-450-0954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1518282490Medicaid
CA055338Medicare Oscar/Certification